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New therapy = new code – Ophthalmology Management

New therapies always engender questions about reimbursement — and often, new codes. Dexamethasone ophthalmic insert falls into this category.

This article addresses the following questions:

  • What is dexamethasone ophthalmic insert?
  • How is the procedure coded?
  • How is the supply coded?
  • Is it covered?
  • Do HOPDs or ASCs get a facility payment?
  • What about the surgeon’s reimbursement?
  • Do Medicare copayments apply?
  • Does using dexamethasone ophthalmic insert affect MIPS scores?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:;-reimbursement

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